| NPI | 1235622507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY CRAIG KINDER General Dentist 606-269-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: KY 10120) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |